An 85-year-old female was admitted with a fall and was found to have slow a fib at a rate of 54 bpm consistently. What is the next best step in the management?

87 year old male admitted to the hospital for confusion and disorientation. Onset x 4 years but noticed a sharp decline in the last 6M He presents with some delusional thoughts and hallucinations. Pmhx of htn.
What would be your most likely diagnosis?

23-year-old female requesting STI testing. She has been having some vaginal discharge. She denies fever/ chills or abdominal pain. What is the best modality of testing for gonorrhea and chlamydia?

87 year old female presented to the ED with back pain. She was doing her bedding when she had the pain. X-ray showed a T9 fracture. She is currently on Alendronate. What is the next step when you see her at the clinic for follow up?

89 years old female admitted to the hospital with advanced dementia and recent falls. X-ray showed fragility fracture to T10. Her clinical frailty score is high and prognosis of 2 years of life. What is the best next step to prevent further fracture?

An 86-year-old man was seen at the ED for back pain and subsequently diagnosed with a wedge fracture to T10. He is following up with you at the clinic. What blood work would you order, if any?

87 year old female admitted due to recurrent falls. She did not have a fracture but her hospital stay was complicated by delirium. What is the single intervention having the best evidence to prevent falls?

A 33-year-old female presented to your clinic for chronic urticaria. Complaining of feeling itchy and no pain. Her workup for vasculitis or autoimmune was negative. What is the next best step in treating her urticaria?

70-year-old female into the preop clinic. She is scheduled for elbow surgery. She is otherwise healthy. BMI 23. No hx of smoking/ETOH/Recreational drugs. What preop investigation would you order?